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Functionalism, History of

Richard Münch, Otto-Friedrich-Universität Bamberg, Bamberg, Germany


� 2015 Elsevier Ltd. All rights reserved.

Abstract

Starting with a brief description of the essential features of functionalism in the social sciences, the article provides an
overview of the major contributions to its development. Comte and Spencer shaped the origins of functionalism in the
nineteenth century by conceptualizing society as an organism. Durkheim continued along this line in Sociology. Radcliff-
Brown and Malinowski did so in Social Anthropology. Merton, Davis, Moore, and Parsons made functionalism the domi-
nant paradigm of post–World War II sociology. Despite its decline in the 1960s, there has been a significant revival of the
paradigm since the 1980s with neofunctionalism and Luhmann’s systems theory.

Functionalism is a method of social science analysis, which The other major source of functionalism in nineteenth-
has its roots in nineteenth-century social thought. It origi- century social thought next to Comte is Herbert Spencer
nated from the application of methods from biology, the (1908). Though he shared the adoption of biological and
rising science at that time, to the analysis of society. Three evolutionary thought with Comte, he demarcated his approach
features are characteristic of this orientation toward biology: explicitly from Comte’s by conceiving society and social
society is more or less strictly conceived as an organism; its development not as a matter of ideas, but as a matter of
development is understood as an evolutionary process; objective things, namely, the behavior of human individuals.
special attention is given to the relationship between the parts The major process in the development of society is differenti-
and the whole constituted by them, particularly to functions ation; functions become more numerous and the tendency is
that have to be fulfilled by the parts for the working of the that a function is fulfilled by one specific institution specialized
whole. The parts are institutions such as forms of family life, in it. The more society grows in size, the more differentiated
economic production, government, and religion as well as the will be its functions and corresponding institutions. The first
organizational embodiments of such institutions: families, differentiation occurs between regulative, sustaining, and
enterprises, governmental bodies, and churches. The institu- distributive functions. The corresponding institutions are
tions are binding rules, which regulate the activities and government, economy, and the infrastructure of channels for
relationships between people. The functions are, for example, transport and communication. With the differentiation of
biological reproduction for the family, generating resources functions and institutions, society works like higher organisms,
and allocating them to needs for economic production, it becomes more heterogeneous, definite in the demarcation of
binding decisions for the collectivity for the government, or institutions, and integrated; group life is transformed from the
the production of meaning for religion. It is assumed that, for coexistence of groups with the same structure without coher-
its simple continuation, society needs the subserving of ence between them (families, clans) to greater heterogeneity
such functions by institutions and their organizational but also greater coherence between groups. The evolution of
embodiments. social life goes from incoherent homogeneity to coherent
heterogeneity in the process of specialization and growing
division of labor.
Origins of Functionalism: Auguste Comte and Herbert
Spencer
The Classical Framing of Functionalism: Emile
It was the fundamental change from traditional agrarian to Durkheim
modern industrial society, which constituted the background
for the rise of functionalism in nineteenth-century social Among the great classical founders of sociology at the turn
thought, particularly in the work of Auguste Comte and Her- from the nineteenth to the twentieth century, it is Emile
bert Spencer. In his Social Statics, Comte conceived of society as Durkheim (1893/1973a, 1895/1973b, 1912/1968) who
a whole which, in its ideal state, is kept in perfect harmony by made a distinctive contribution to functionalism as a method
the balanced contribution of its constituent parts to its working of sociological analysis. From Comte he borrowed the holistic
in the process of fulfilling their specific functions. In his Social view of society, from Spencer the idea that the growing division
Dynamics, he conceptualized social change as an evolutionary of labor is a core feature of social evolution. In his Rules of the
process from lower to higher forms of societal organization. Sociological Method, Durkheim made a clear distinction between
Because he expected science to bring about the perfect organi- functional and causal analysis and a clear statement that every
zation of social life in its final stage in modernity, he couched functional analysis needs to be complemented by causal
the evolutionary process in terms of the evolution of thinking analysis. He argues that the utility of an institution in serving
from the theological to the metaphysical to the positive stage a need for individuals or in performing a function for society
shaped by ‘positive’ science. does not suffice to explain its existence.

536 International Encyclopedia of the Social & Behavioral Sciences, 2nd edition, Volume 9 http://dx.doi.org/10.1016/B978-0-08-097086-8.03183-4
Functionalism, History of 537

In his study on The Division of Labor in Society, Durkheim because of a necessary function it fulfills. In his view, the
points out that specialization and division of labor are tools for unity of society was not a postulate claimed for every society,
the self-preservation of the individual and the society and but a hypothesis that allowed a functional explanation of
for integrating society. They help to overcome the struggle for a social phenomenon by its contribution to the persistence
scarce resources. This struggle is caused by the increasing of society. One of his examples is the explanation of lineage
material and dynamic density that results from population systems by the fact that they help to avoid conflicts about
growth and the extending as well as denser weaving of ways property rights after the death of property holders and thus
and means of transport and communication. Nevertheless, contribute to the maintenance of solidarity. It is obvious that
serving self-preservation and social integration do not produce such an explanation is nevertheless insufficient in the light of
specialization and the division of labor by themselves. In Durkheim’s methodological objections against purely
Durkheim’s eyes, this functional explanation of specialization functional explanations.
and division of labor needs a complementation by causal At this point, it is quite reasonable to turn to the detailed
analysis. In doing so, he looks for forces, which lead the methodological analysis of functionalism contributed by
selection of behavior and individuals in the direction of Robert K. Merton (1949/1968) in his paradigm of functional
increasing labor division. He says that emigration, suicide, and analysis. Merton points out three postulates of functionalism,
crime would have been other possible solutions of the which all have to be doubted in his eyes: (1) Functional unity
problem besides labor division. He explains the fact that they postulates that society is one consistent whole and every
have not been selected to the same extent by the greater phenomenon contributes to its working and that there is no
resistance called for by them. The bonds to one’s home division of society into parts with conflicting needs. (2)
country work against emigration, the bonds to one’s life Universal functionalism postulates that every social phenom-
against suicide, the sympathy for our fellows prevents us from enon performs a positive function for the whole of society. (3)
committing a crime. They are on average stronger and more Functional indispensability postulates that every social
resistant feelings than the habits, which could prevent us from phenomenon performs an indispensable function for the
further specialization. The latter had to give way to the whole of society and cannot be replaced by some other
pressure toward specialization. In doing so, Durkheim points phenomenon. Merton says that all three postulates are unful-
out the ‘functional equivalents’, which would serve self- filled by concrete societies, particularly by modern societies, so
preservation and then gives answers to the question as to the that functional explanations of social phenomena cannot be
forces that lead human behavior in the direction of one of based on them.
them. This is his complementation of functional analysis by Instead, Merton introduced a more realistic paradigm of
causal explanation in his study on the division of labor. functional analysis with a set of 12 requirements: (1) Only
In his later work on The Elementary Forms of Religious Life, standardized social phenomena like institutions should be
Durkheim draws on anthropological studies on the Australian analyzed with regard to their functions. (2) Subjective dispo-
aborigines. Here he makes use of his idea of the circular link sitions of actors and objective consequences of their action in
between cause and functional effect in the study of ritual social practices should be outlined and distinguished. (3)
practices in which the sacred is strengthened in distinction to Positive, negative (dysfunctional), and neutral effects of stan-
the profane and in which the community is regularly becoming dardized practices should be discerned. (4) The units for which
conscious of itself. We have a circular link here. People gather an item fulfills a function have to be exactly determined. (5) The
because they want to influence the demonic powers positively functional requirements for maintaining a system have to be
for practical reasons of a good harvest or hunt, their willingness denoted. (6) The mechanism of their fulfillment must be
to come together is, however, supported by their feeling of specified. (7) The functional alternatives have to be enumer-
belongingness and solidarity, which is again strengthened by ated. (8) The structural context needs description regarding the
the ritual itself. narrowing down of space for functional alternatives. (9)
Dysfunctions have to be detected and analyzed with regard to
effecting stress and strain with resulting pressures for change.
A Paradigm of Functional Analysis: Robert K. Merton (10) The functional explanations should be validated in
comparative research. (11) Functional analysis must be neutral
Durkheim’s analysis of tribal societies was continued in the in ideological terms. (12) Functional analysis of a social prac-
anthropological study of tribal societies, particularly by the tice needs to include (a) the location of participants in the social
leading British anthropologists, Alfred R. Raddcliffe-Brown and structure; (b) alternative modes of behavior excluded by the
Bronislaw Malinowski. According to Malinowski (1948), every pattern; (c) the emotive and cognitive meaning of the pattern
social phenomenon has to be explained by an indispensable for the participants; (d) a distinction between motivation and
function it fulfills not only for the whole of society, but also objective behavior; and (e) behavioral regularities that are part
for the human individual: biological needs for food, shelter, of the pattern but are not recognized by the participants.
and reproduction, psychological needs for support, needs for A good example of Merton’s idea is his functional expla-
maintaining culture and social organization. Institutions of nation of the political machine by the various needs it fulfills
exchange, decision making, social control, and education for the whole of society and for a variety of groups. As an
should be explained by such functions. Radcliffe-Brown informal network with a boss at its head, it concentrates power
(1952) criticized Malinowski’s emphatic functionalism and and thus makes political decisions possible in the American
preferred to call his approach structuralism. He did not political system of checks and balances; it also serves as
accept the presumption that every social phenomenon exists a vehicle of helping the poor and weak, legitimate and
538 Functionalism, History of

illegitimate business and provides channels for upward The legitimacy of the stratification system in distinction to its
mobility. Thus the political machine becomes stabilized factual production and reproduction is, however, an effect of
because – according to Merton’s requirement – the positive the consensus on a grading scale according to which prestige is
functions outweigh the dysfunctions by far. attributed to positions. Only in as much as such a consensus
on a grading scale is achieved will the system of stratification
be accepted as legitimate. Otherwise, the definition of the
Functional Prerequisites and Social Stratification: importance of positions and the access to them will be
Aberle et al. and Davis and Moore a matter of the war of all against all. In general terms, this is
the problem of double contingency.
In the 1940s and 1950s, functionalism achieved to the position Other than Merton’s deliberate plea for empirical middle
of the dominant paradigm of sociological analysis under the range theories, Parsons’ program was analytical grand
name of “structural functionalism”. The investigative strategy theory. Merton stood for empirical functionalism, Parsons for
of structural functionalism was the discovery of the functions, analytical functionalism (Parsons, 1951). He introduced his
which have to be fulfilled in order to secure the survival of four-function paradigm as an analytical instrument of
society and the discovery of the corresponding structures analyzing structures as well as dynamic processes with
serving these functions (Aberle et al., 1950/1967). Another regard to abstract functions (Parsons, 1966, 1967, 1978;
representative contribution to structural functionalism is the Parsons and Smelser, 1956). By cross tabulating the
functional theory of social stratification outlined by Kingsley instrumental/consummatory and the internal/external
Davis and Wilbert E. Moore (1945) in their much debated orientation of action, he defined four abstract functions:
article ‘Some Principles of Social Stratification’ published in the instrumental/external: adaptation (A), consummatory/
American Sociological Review. Davis and Moore argue that every external: goal attainment (G), consummatory/internal:
society needs a system of social stratification for the following integration (I), and instrumental/internal: latent pattern
reasons: (1) The members of the society share common views maintenance (L). For further differentiation, Parsons
on the importance of a certain position needed for the provi- distinguishes three levels of applying the four-function
sion of public and private goods and services. (2) To perform scheme: (1) social system: economic (A), political (G),
the corresponding roles, more or less talent, training and/or community (I), and fiduciary (L) system; (2) general action
effort is required. (3) Thus, positions can be more or less system: behavioral (A), personality (G), social (I), and
important, the personnel needed for filling the positions more cultural (L) system; and (3) human condition:
or less scarce. The greater the importance and scarcity, the physicochemical (A), organic (G), action (I), and telic (L)
greater the reward. The result is that positions are always system. Further differentiation results from the application
stratified. The representative criticism of this functional theory of the scheme to one of the subsystems. After having
of stratification was formulated by Melvin M. Tumin (1953) in developed an analytical action theory in his first work of
an article published in the American Sociological Review 8 years 1937, The Structure of Social Action (Parsons, 1937/1968),
later. It is couched in terms of conflict theory: The class structure Parsons established structural functionalism as a link
is based on the power of the dominant class, which defines the between analytical functionalism and systems theory in The
importance of positions; its major effect is the differentiation of Social System in the early 1950s, and extended that link with
access to the higher positions according to socialization the introduction of his theory of generalized media of
advantages and training of the offspring originating from the interchange (money (A), political power (G), influence (I),
dominant class. Rather than contributing to the working and and value commitments (L) for the social system) and his
integration of society, the stratification system has disruptive theory of evolution as instruments for the analysis of
effects so that society is not stabilized by value consensus and dynamic processes of inflation and deflation and social
stratification, but by the application of power. change in the 1960s. With his turn to functionalism,
systems, media and evolutionary theory he did, however,
not give up the core position of his early action theory: the
Functionalism as an Attempt at Synthesis: idea that social order emerges from the interaction between
From Talcott Parsons’ Structural Functionalism controlling and dynamizing forces. In his systems theory, he
to Neofunctionalism couched this idea in the double cybernetic hierarchy of
conditions and controls. From (L) to (A) energy and
Five years earlier than Davis and Moore, in 1940, Talcott dynamics in the system increase, while information and
Parsons published another functional theory of social strati- control decrease, and vice versa.
fication, which he revised twice, in 1954 and 1975 (Parsons, Looking at one analytical level, the social system, this
1954a,b, 1977). In the perspective developed by Parsons, system is composed of subsystems, which fulfill their specific
social stratification has to be explained by the interaction of functions (A G I L) with specific structures (markets (A),
dynamic and controlling forces of action, interests and power authority (G), association (I), and communication (L)) and
on the one hand, and solidarities and cultural values on the specific media of interchange. They build an interrelated set of
other. Interests and power determine the access to positions systems with in- and output processes of factors and products
and the enforcement of positional differences and outcomes, processed by the circulation of the media from one system to
particularistic solidarities of family and lineage explain the the other (interpenetration). Crises in the working of the
inertia of class structures, because of the tendency of families systems can be analyzed as inflation–deflation spirals of
to secure their offspring remaining in the same class position. the media involved.
Functionalism, History of 539

In his theory of evolution, Parsons tries to point out the and aiming at new approaches to study society. In the 1950s
evolutionary advantage of specific institutions. Religion, already, Lewis Coser (1956) and Ralf Dahrendorf (1958a,b)
communication by language, social organization through objected to functionalism with regard to its inadequate
kinship and technology are the first conditions of building understanding of social conflict. Drawing on Georg Simmel,
human societies. A breakthrough to higher forms of social Coser emphasized that social conflict is not only disruptive in
organization is realized by social stratification according to its effects, but – under certain specific conditions – also meets
prestige based on achievement instead of ascription by origin. functions of maintaining social relations and integrating
The rigidity of kinship systems is pushed back in this way. A society. He developed a kind of conflict functionalism.
further step forward is the replacement of tradition by cultural There are conditions that mitigate conflicts such as chances
legitimation through general values. The developmental stage of of expressing frustration openly, a greater number of
a modern society is realized by the establishment of bureaucratic alternatives for action, little frustration before a conflict
organizations, markets and money, universalistic norms and becomes evident, exclusion of emotional and ideological
democratic association. In two volumes, he outlines the evolu- motives, and a focus on the substantial objects of conflict
tionary process in four dimensions according to his AGIL and stable social relations. External conflicts with other
scheme: adaptive upgrading (A), structural differentiation (G), groups strengthen the groups’ identity and cohesion, but
inclusion (I), and value generalization (L). also coerce nonconforming members of the group. Also,
Evolutionary achievements require breakthroughs in all external conflicts contribute to stabilizing and strengthening
four dimensions. He points out such breakthroughs in his relations between the conflicting individuals or groups.
analysis of primitive societies, archaic societies (Egypt and Ralf Dahrendorf criticized functionalism’s one-sided focus
Mesopotamia), intermediate historic empires (China, India, on consensus, social integration and social stability. He did
Islamic, and Roman empires), seedbed societies (Israel, not want to abandon the functionalist view of society, but
Greece), and, finally, the system of modern societies from wanted to complement it with a special emphasis on
ancient cultural roots via the Renaissance and the Reforma- constraint, conflict, and change. As he puts it, functionalism
tion to the Enlightenment and the building of modern citi- considers society as a relatively stable and well integrated
zenship, state and capitalism. The major modern configuration of elements, all of which contribute to its
breakthroughs are the industrial, the democratic, the educa- functioning, while society is founded on consensus. From
tional, and eventually the ‘expressive’ revolution of the 1960s the complementary point of view of conflict theory, society
and 1970s (Parsons, 1966, 1967, 1971). is based on the constraint exercised by some of its members
According to his position that social order always has to on the other members, and it is in continuous change
reside in some form of consensus and solidarity in order to avoid entailing always conflict. All its elements contribute to its
an unlimited power struggle, Parsons lays special emphasis on change. George Homans (1961, 1964) challenged
the development of citizenship as a core of a modern ‘societal functionalism’s holistic approach to study society and to
community’. It is a modern form of community, which has the focus on institutions, structures, and functions of the society
greatest potential for inclusion, it associates people of the most at large and the corresponding search for “grand theory”
varied ethnic and cultural origins. In this respect, it is the with a plea for methodological individualism. He argued for
cornerstone of modern social organization. He sees the society of “bringing men back in” and for a sociological explanation
the United States farther developed in this respect than the based on psychological laws that he derived from
ethnically more homogeneous European welfare states (Parsons, behavioristic learning psychology. Any explanation of social
2007). The modern community of citizens is the core, which is institutions and social change is required to trace them back
complemented by a capitalist economy; democratic govern- to the actions of human individuals. For example, the
ment; and universalistic institutions of education, science, stability or change of an institution like the appearing of
professional work, and voluntary religious association. This is students in class at 8 a.m. every morning of a school day
the abstract path of sociocultural evolution, which has to be resides in the students’ motivation to appear or not appear
distinguished from concrete historical development that can in class at that time every morning of a school day. Homans
more or less deviate from this path. There is particularly always initiated a kind of micro-sociological revolution against
the danger of fundamentalist movements against modernity, functionalism (Alexander, 1987: pp. 156–280). Besides
which originate from the severe tensions caused by the evolution Homans’ psychologically based theory of human behavior,
of modern forms of social organization. For Parsons, fascism as other parts of this revolution included symbolic
well as communism were such fundamentalist reactions to interactionism as it was advanced by Herbert Blumer (1969)
modernity, which have, however, no chance of long-enduring based on George Herbert Mead’s social behaviorism;
stabilization in his eyes. Therefore, he expected that the Soviet Erving Goffman’s dramaturgical theory of interpersonal
system would crumble some time, an expectation grounded in communication; and Harold Garfinkel’s studies in
‘abstract’ evolutionary theory, which turned out to be very ethnomethodology. These approaches were addressing the
‘realistic’ eventually. construction of social order in social interaction. They all
shared Denis Wrong’s (1961) criticism of Parsons’
“oversocialized conception of man”. Wrong emphasized
Criticism of Functionalism that members of social groups, communities, organizations
or societies are not completely socialized to the extent that
The dominant role of functionalism during the 1950s and their action is nothing but role-taking and conformity to
into the 1960s provoked criticism pointing out its weaknesses norms and role expectations. Socialization itself is
540 Functionalism, History of

a conflictual process and is incomplete so that there is always help to improve given institutions so that the existing society
space for deviation from established norms and for change of arrives a better shape and greater balance. This conservatism
social order. From the point of view of symbolic inherent in functionalism implies its adaptation to society as
interactionism, any social order is not given once and for it exists. It may fulfill this conservative ‘function’ in a liberal
all, but has to be negotiated and renegotiated time and capitalist society, in a society characterized by capitalism’s
again in everyday interaction (Strauss, 1978). embeddedness in democracy and welfare institutions and
From the macro-sociological perspective, it was first of all even a socialist society. Against this conservative character of
C. Wright Mills (1956, 1959) who challenged what the functionalism, Gouldner argues for a reflexive sociology that
critiques called functionalism’s preoccupation with reveals the deeper roots of contemporary tensions and
consensus, order and stability and the understanding of conflicts in society and a radical sociology that opens up ways
society as a widely harmonious whole composed of toward a more profound change of society and toward a better
interdependent parts that all contribute to its functioning. future.
From Mills’ point of view, this preoccupation with Marxism became a major stream of radical sociology in the
consensus, order and stability made functionalists unable to 1970s. The revitalization of Marxism at that time entailed,
address power, conflict and constraint in a realistic way. however, a remarkable bloom of functionalist thinking in its
This was particularly true for the functionalist perspective broader terms. Social theory inspired by Marx had to find an
on American society. As Mills elaborated in his widely answer to the question as to why capitalism did not break
received study The Power Elite, American society underwent down in the West as postulated by Marx in his study on the
a major change after World War II and in the wake of the rise and future decline of capitalism. The widespread answer
Cold War between East and West. Up to that time, the to this question was the rise of stabilizing institutions like
business elite was most influential in shaping society and science and technology, social partnership between industrial
politics. With the Cold War, the federal government’s federations and trade unions and government interventions
leadership became more important along with the military in the economy aiming at minimizing its disruptive effects. It
leaders. Mills saw American society widely ruled by what he was Jon Elster (1982) who addressed exactly this turn of
called the military–industrial complex, that is a close Marxism to a kind of functionalist method of analysis. Elster
network of leaders from military and big business and their referred to the logical incorrectness of functionalist explana-
involvement in the federal government. In Parsons’ (1960: tions as already identified by Carl G. Hempel from a meth-
pp. 206–247) eyes, Mills exaggerated the connections odological point of view. As he emphasized, it is logically
between military, business, and government and impossible to explain the existence or rise of an institution by
underestimated the functional differentiation of society. For the function it fulfills for society. Against the preoccupation of
Parsons, military, business, and government fulfill specific functionalism with methodological holism – the whole is
functions for society. Their leaders play a crucial role in more than its constituent parts – he argued in favor of
meeting these functions, but do not unite in a closed elite methodological individualism. The emergence and existence
that rules society in its particularistic interest. of institutions have to be explained by the motives and
Here is the crucial point at which Alvin Gouldner’s (1970) actions of the major actors who have created them or are
critique of Parsonian functionalism set in. While the critiques maintaining them even against resistance at a certain time
mentioned so far were directed against functionalism in a still in history. Elster identifies Christian theodicies as a major
dominating position, Gouldner launched his criticism at root of functionalism reaching their summit in Leibniz’s
a time at which the decline of the paradigm was well under teaching that everything happening in this world will end
way. His book The Coming Crisis of Western Sociology was up as good for the human individual. For him, Bernhard de
written as an account of this decline and put forward a plea for Mandeville’s teaching that private vices produce public
a reflexive and a radical sociology. Gouldner elaborated the benefits constitutes a secular version of Christian theodicy.
similarity of Parsonian functionalism to Plato’s philosophy of Adam Smith’s statement that some invisible hand turns
a partially good world, which can be improved by moving private utility maximization into public wealth on the
toward an ideal order where every part of it is in equilibrium market also belongs to this category of functionalist
with all other parts and contributes to the functioning of the reasoning. Elster considers this type of reasoning as a weak
whole. Society is a whole composed of interdependent parts functional paradigm which assumes that some behavioral
that all contribute to its functioning. By looking at society in pattern has beneficial consequences for some social unit,
this way, functionalism is conservative in the same way as but is unintended and not recognized as such by the
Plato’s philosophy was. That means, even if it does not beneficiaries (Elster, 1982: p. 454). Elster also identifies
directly aim at conserving a concretely existing society and its a main functional paradigm that explains the existence of an
institutions, it has to look at it in a way so that practices and institution or behavioral pattern by referring to their latent
institutions are identified in their functional contribution to functions for a social unit, and a strong functional
society and its order. Even if problematical phenomena can paradigm, which assumes that all institutions and
always be observed in society, they can only be conceived as behavioral patterns can be explained by a function they
deficient, which calls for improvement in order to meet the fulfill for a social unit. Elster supplies a variety of examples
required function for society. Thus the functionalist perspec- for these types of functional explanations in the social
tive may see deviance, conflict, and disorganization in society sciences, particularly in Marxism. They all share the
but will never open the observer’s eyes for the deeper causes of assumption of some objective teleology in social processes
these phenomena and will always search for remedies that such as Hegel’s idea that history develops dialectically in the
Functionalism, History of 541

direction of reality coming closer to reason, that means the world complexity, which needs reduction so that it can be
real turns out to be the reasonable. Elster gives a variety of handled. Systems just perform this function of reducing
examples of this kind of functionalist reasoning and he world complexity.
shows that not only functionalism in mainstream sociology In his second phase of theory building, Luhmann under-
adheres to this type of reasoning, but also, very broadly, took another turn of his functionalist systems theory: the
Marxism from its very beginning in Marx’s writings conceptualization of social systems as autopoietic, self-
themselves through to the renewal of Marxism in the 1970s referential systems. Because there is always the danger of too
in particular. One example is Marx’s explanation of the much complexity, the major problem is systems building
Bonapartist regime that deprives the bourgeoisie of exerting and the continued maintenance of systems boundaries,
political power directly in order to protect it from self- which are boundaries of meaning. Autopoiesis is a form of
destruction so that it maintains its dominant position in systemic operation, which guarantees the maintenance of
society in the long run (Elster, 1982: p. 458). Elster boundaries and, at the same time, allows for maximum
demonstrates furthermore that many Marxist analyses absorption of environmental complexity. An autopoietic
explain what exists by its function for maintaining system is operationally closed, but open to any kind of
capitalism and serving the capitalist class. The state in complexity in the environment. Operational closure is
whatever form it may exist is explained by its function for guaranteed by a binary code according to which any kind of
capitalism and the capitalist class. As Elster points out, all environmental complexity is processed. The concrete
these functional explanations are deeply flawed, as they processing is organized by a system’s program. Special links
simply cannot explain what they want to explain. There are to other systems in the environment are stabilized by
always functional alternatives and the attributed function structural coupling. Generalized media of communication
for a social unit does not bring about an institution or allow for most flexible forms of systemic processing: money,
behavioral pattern by itself. For Elster, there is no other way power, law, and love, for example. Social systems are built
than looking at the actors and their motives in creating and up by communication, they originate from that and
maintaining institutions and behavioral patterns. This is continue to exist as long as communication takes place
what methodological individualism requires from according to the established code. Communication consists
sociological explanation. of three elements: information, message, and interpretation.
An autopoietic system produces and reproduces all its
elements – communication – by itself, i.e., by systemic
Functionalism and Modern Systems Theory communication, but it makes use of environmental
complexity. It does not take inputs from the environment to
The dominant role played by Parsonian functionalism in the transform them into outputs, but receives impulses from the
1950s provoked counter-movements, which concentrated environment to which it shows more or less response. The
mostly on some particular aspect of social organization, system observes events in the environment and absorbs
which was relativized within the very general Parsonian them according to its own code and program. Problems of
scheme. The need for revitalizing the Parsonian approach has maladaptation to the environment can be discovered by
indeed called for a new movement, which aims at continuing second-order observation, which is self-observation and self-
with the general program of Parsons on the contemporary description.
level of development. This is the movement of neo- Luhmann distinguishes three levels of social systems: inter-
functionalism, which arose in the 1980s. Neofunctionalism action systems, organizational systems, and societal systems.
tries to advance the Parsonian legacy by way of learning from According to his theory of evolution, more complex societal
new developments in social theory and social research, for systems evolve by variation, selection, and stabilization. There
example from advancements provided by Clifford Geertz or are three (later: four) stages of societal evolution, which are
Jürgen Habermas. This new movement has contributed fresh defined by the form of differentiation of systems: segmentary,
interpretations of Parsons’ work along with a new reading of estate (later: center/periphery), and functional differentiation.
the classics, studies on civil society and public discourse, on Modern societies are functionally differentiated and no
the evolution of the culture of modernity, on communication longer have a center. The economic, political, legal, science,
society, European integration and globalization (Alexander, educational, and arts systems are more and more differenti-
1982/83, 1998, 2006; Münch, 2010, 1987/2011, 2012). ated on a world scale and thus transcend their centering
A comprehensive renewal of functionalism has been around a societal community and/or a state. Thus the nation-
undertaken by Niklas Luhmann (1970, 1984, 1997). He, too, state societies are transitional stages on the way to world
combines functionalism with systems, media, and evolu- society. Paying vs. not paying, having power vs. having no
tionary theory. In his early phase of theory-building, power, right vs. wrong, true vs. false are the binary codes of the
Luhmann introduced a turn from structural-functional to economy, polity, law, and science systems. The evolutionary
functional-structural systems theory. To justify this turn, he process works toward the establishment of functionally
claims that the question of function has to be posed in differentiated systems on a world scale, which are linked by
a more fundamental way. Before we ask for the structures of structural coupling and by mutually stabilizing coevolution.
systems, which have to fulfill certain functions, we should Niklas Luhmann’s systems theory attracted great interest,
raise the question as to which function is served by systems particularly in the 1970 and 1980s, and above all in Germany.
building as such. What is the problem solved by systems Many younger sociologists adopted his paradigm of auto-
building? This is how he asks his question. His answer is: poietically operating systems. Also, he provoked some
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Functioning, Disability and Health, International Classification of
Alarcos Cieza, University of Southampton, Southampton, UK
Jerome E Bickenbach, Leiter Disability Policy Group, Schweizer Paraplegiker-Forschung, Nottwil, Switzerland
� 2015 Elsevier Ltd. All rights reserved.

Abstract

The World Health Organization’s International Classification of Functioning, Disability and Health (ICF) constitutes a shift in how
we understand and as a society respond to disability. Conceptually, the ICF embodies an integrative understanding of the
universal human experience of disability and as a practical tool it provides a multidimensional classification and standard
language for health information. We focus here on the conceptual framework of the ICF as well as its classificatory structure
and health applications before considering issues and applications particularly relevant to the social and behavioral sciences
that are. We also contrast ICF George Engel’s ‘biopsychosocial’ model and ICF’s role in operationalizing health.

Introduction facts, the second reducing it to the social construction of


a marginalized and stigmatized subpopulation. The developers
The endorsement of World Health Organization’s International of the ICF sought to avoid both extremes, without abandoning
Classification of Functioning, Disability and Health (ICF) what is valuable in each position. The resulting model imple-
(WHO, 2001) by the 54th World Health Assembly in 2001 rep- mented the following interlocking principles:
resented both a deeply conceptual and practically significant First, disability should be understood as a universal feature
advance for natural, social, behavioral sciences in the conceptu- of humanity, not the mark of a minority population. Disability
alization, description, and assessment of human functioning is not some ‘special’ attribute that some people possess and
and disability. Conceptually, the advance arises from a others lack: at bottom disability arises from the blunt fact
person–environment interaction model, termed as the ‘bio- that human life arises out of a myriad of biological functions
psychosocial model,’ upon which the ICF is based. This model that are, in the end of the day, both fragile and susceptible to
avoids sociological and biomedical reductionisms and less-than-optimal levels of functioning – either congenitally,
provides a starting point for a comprehensive and integrative or because of disease, disorder or injury at some point in life.
understanding of the universal human experience of func- Aging itself is a matter of a progressive decline in biological
tioning and disability, and by extension the experience of functions – yet another reason to see disability as a normal
health itself (Cieza et al., 2008). Practically, the ICF provides feature of living. From a policy perspective, the universality of
a multidimensional classification that constitutes both an inter- disability, as the disability sociologist Irving Zola recognized
national standard language of functioning and disability, and 25 years ago, ‘demystifies the specialness of disability,’ opening
the ontology of a systematic description of the total health the door to mainstreaming disability across all sectors of
experience. society (Zola, 1989).
In this article, we will first focus on the conceptual frame- Disability is universal for another important reason. All bio-
work, or model, of the ICF before moving on to details of its logical functions, and the vast number of human actions and
classificatory structure. That will be followed by a brief review behaviors that they make possible, are continuous not dichot-
of the potential uses of the ICF within the health sciences, omous phenomenon. Each biological function operates in the
broadly construed, and conclude with a discussion of the range domain of ‘more or less’ not ‘all or nothing.’ Although
of applications that are particularly relevant to the social and some manifestations of disability are total – blindness, for
behavioral sciences. Along the way, and to avoid a natural example – most are a matter of degree. Where on this
confusion, we will contrast the ICF model with George Engel’s continuum between ‘complete’ functioning and ‘total lack’ of
influential, and similarly named biopsychosocial model functioning constitutes a problem (termed in the ICF, an
(Engel, 1977). We will also explore the potential for the impairment) is a matter of judgment and susceptible to
ICF – both as a conceptual model and a classification of func- a wide range of considerations, both personal and social. As
tioning – to provide a much-needed operationalization of the a consequence, the ICF is principally a classification of func-
contentious notion of health. tioning and only derivatively of problems or decrements of
functioning, that is, disability.
Finally, the experience of disability depends, not merely on
The ICF Biopsychosocial Integrative Model biological functions and their impact on the actions and behav-
iors that people can perform, but also and crucially on the total
For more than 40 years models of disability have proliferated, context in which people live. That is, functioning and disability
shedding more heat than light (for overviews see Shakespeare, are outcomes of an interaction between intrinsic features of
2006; Bickenbach, 2012). The debate, part science and part people (usually expressed in language of biology and
politics, has pitted the ‘medical model’ against ‘the social psychology) and the physical, human-built, attitudinal, social,
model’ – the first purportedly reducing disability to biomedical political, economic, and cultural environment in which people

International Encyclopedia of the Social & Behavioral Sciences, 2nd edition, Volume 9 http://dx.doi.org/10.1016/B978-0-08-097086-8.14081-4 543
544 Functioning, Disability and Health, International Classification of

live. In particular, disability arises from both biology and the remove attitudinal or cultural barriers such as stigma and
physical and social world. And again, the point at which the discrimination, or else effect those political changes that
operation of a biological function becomes problematic for ensure full social inclusion.
an individual will depend both on what the person wants to Other health conditions and impairments will yield a very
do or behave and what is possible given the person’s environ- different portrait of the disability experience. For contrast, think
ment, what is required or expected to do or behave. of mental health conditions in which the impact of attitudinal
To fully operationalize the principles of universality, conti- environments, in the form of stigma, fear, and misunder-
nuity, and interaction, the ICF ‘biopsychosocial model’ is con- standing, can be far more determinative of limitations in social
structed in terms of three dimensions of functioning: body participation than the underlying health condition itself.
functions and structures, activities, and participation. Prob- People with noticeably aberrant or nonstandard behaviors –
lems or difficulties in these dimensions are termed impair- from simple facial tics and spasms to complex forms of
ments, activity limitations, and participation restrictions. For antisocial behavior – may be more limited (and hence, more
terminological consistency, a decision was made to jointly disabled) by their social environment than by their impair-
call these three negative dimensions ‘disability.’ To complete ments. Yet, some mental health problems such as depression
the model, the two primary categories of determinants of and extreme forms of dementia can rarely be ameliorated by
disability are added. First, the underlying health condition environmental facilitators (other than, perhaps, medication)
(understood as a health state that yields problems of func- and are more dramatically determined by the underlying
tioning, that is, diseases, disorders, and injuries), and health condition and resulting impairments.
secondly, contextual factors of environmental and personal Significantly, each dimension of disability is associated with
factors (the latter only mentioned and left for further develop- a range of appropriate social responses or interventions. At the
ment). The environmental factors component reflect the long- level of impairment, medical or rehabilitative responses are the
accepted account of health as being, at least in part, most appropriate, and in this sense, the ‘medical model’ is an
determined by underlying physical and social determinants accurate, though partial, representation of the disability experi-
(cf Whitehead et al., 2003). Diagrammatically, the ICF model ence. At the person level of activity limitations – operationally
is represented in Figure 1. identified by assessing a person’s capacity to perform activities
As an example, an individual who has incurred a spinal in a given or standardize environment – the appropriate
cord injury will, as a result, experience a range of impairments responses will either aim to increase inherent capacity levels,
of body function and structure, including lower body paral- or else designed assistive technology that augments capacity
ysis, loss of bowel and bladder control, and muscle wasting. suitable for actual contexts or environments appropriate to
These and other impairments will directly affect the person’s the individual’s needs. Finally, at the level of the person-
physical capacity to perform a variety of simple and complex in-context, the paradigmatic interventions are those that either
activities, including walking and managing excretion, and remove environmental barriers to full participation or else put
may well affect other very complex social activities such as into place environmental facilitators, or both. At this, the most
making friends or pursuing education or employment. These complete level of experience, the appropriate interventions
activities and tasks, however, can be ameliorated to one should be conceived as including, not merely the physical,
degree or another by changes to the person’s environment organizational, and attitudinal environmental alteration, but
that can facilitate activities and participation. The most also all of the social and political antecedents needed to bring
obvious is the provision of a wheelchair and other assistive about these environment change: research, political mobiliza-
devices. Less obvious, but often more consequential, are alter- tion and lobbying, legal change, resource allocation, policy
ations to the physical environment of the school or place of creation and implementation, and so on. This is true whether
employment (in the form of elevators, adjustable desks, the environmental alteration involves putting in curb cuts for
personal assistance, and so on). These facilitators enable the greater wheelchair mobility, or instituting a policy of positive
individual to carry out the appropriate complex tasks. Finally, action in public-sector hiring.
less obvious still, but also highly significant, are those social, The ICF conceptualization of functioning and disability
cultural, and political environment changes that either identifies both underlying impairments and the overall context
or environment in which the person lives as coequal determi-
nants, with the precise configuration of influences being iden-
tifiable on a case by case basis. Unlike both the social and
Health condition the medical models, the ICF provides no account of how
(disorder/disease)
disability comes about in general, but offers a relatively
theory-neutral descriptive model that is a template for explana-
Body Activities Participation tion. If a researcher wishes to show that, say of an instance of
function and structure (Limitation) (Restriction) employment restrictions for people with mobility problems,
(Impairment)
this is primarily the product of social prejudice, or unaccom-
modating workplace environments, or the underlying impair-
ment, the researcher can rely on the ICF to collect relevant
Environmental Personal
factors factors evidence to make the case. In short, the ICF’s biopsychosocial
model rejects both the medical and the social model are reduc-
Figure 1 The model of functioning and disability on which the ICF is tively distorting, while preserving the germ of truth contained
based. in each.
Functioning, Disability and Health, International Classification of 545

Comparing the ICF Model with Engel’s reason alone the two models are radically different. But in addi-
Biopsychosocial Model tion, the ICF does not make any distinction between health
states and the perception or feeling of being ‘sick.’ The ICF is
Because of the similarity in the label, it is tempting to compare a wholly objective, descriptive tool. Of course, it is evident
the ICF ‘biopsychosocial model of functioning and disability’ that a person can have a disease and not feel sick, or feel sick
with the approach famously offered up in 1977 by psychiatrist and be perfectly healthy: this is a crucially important clinical
George Engel. As it happens, the similarity between the two realization that, as Engel argued, a responsible physician needs
models ends with the common label, and it is instructive to to take on board. But the distinction between health and sick-
see why this is so. ness is irrelevant for the description of health states and the
In his 1977 presentation of his model, Engel’s concern was dimensions of functioning that can, in interaction with envi-
to “provide a basis for understanding the determinants of ronmental factors, led to disability. Description, as a precondi-
disease and arriving at rational treatments and patterns of tion for assessment and measurement, is the raison d’etre of
health care” (Engel, 1977, p. 196). His critique of the ‘biomed- the ICF.
ical model of disease’ was in part conceptual – rejecting its Finally, it is not entirely accurate to say that the ICF utilizes
reductivism and tendency to dismiss nonbiomedical explana- a biopsychosocial model at all, at least one that bears a family
tions as irrelevant – but was for the most part clinical or thera- resemblance to Engel’s model of determinants of disease. In
peutic. His biopsychosocial model was a plea for the scientific fact, although many of the environmental factors are social
legitimacy of investigating nonbiological, or what we now call phenomena, many if not most environmental factors are phys-
social determinants of disease (see Figure 2); yet all of his argu- ical things in the world – weather, buildings, elevators, and
ments focus on the single, purely clinical phenomena that other people. It might have been better to use the terminology
patients seek medical help not merely because of experienced now becoming more common in the disability literature and
biological dysfunction, but also because of expectations about naming the ICF model the ‘environmental’ or ‘interactive’
what it means to be healthy, expectations that are socially, model.
culturally, and even linguistically, determined.
At one point, he argues that, biomedically, the state of grief
has all the hallmarks of a disease – bodily and psychological Understanding Health in Light of the ICF
disturbances and a predictable symptomatology and prog-
nosis. But, significantly, grief is rarely so perceived because, Conceptually, how might the ICF assist in our understanding of
socially and culturally, it is understood as a ‘problem of living’ health? Needless to say, health is a highly contested notion,
not a disease. In short, patients acknowledge diseases only if even though we have an intuitive grasp of what health is or
they perceive them as sickness, and they will only do so within at least what it means to us. The technical, philosophical debate
the framework provided by psychological and cultural expecta- over the definition of health – fluctuating between purely
tions. The physician, Engel concludes, must therefore supple- descriptive and biological conceptions (e.g., Boorse, 1975,
ment her or his biomedical knowledge, with skill in social 1977) to normative accounts linking, or equating, health
and psychological perceptiveness in all therapeutic encounters. with well-being (e.g., Nordenfeld, 1987) – is inconclusive.
By contrast, the ICF does not offer any account of the deter- WHO’s famous 1948 definition of health as “a state of
minants of disease or other health conditions, and for this complete physical, mental and social well-being and not

Biological Psychological Social


Viruses Behaviour Class
Bacteria Beliefs Ethnicity
Hormonal Illness perceptions Education
Cerebral lesions Cognitive illusions Employment
Stress
Coping

Health condition

Figure 2 Engel’s model as depicted by Albery and Munafò (2008) is presented in the upper part. The mentioned psychosocial factors represent the
determinants of a health condition. The ICF biopsychosocial model is presented in the lower part.
546 Functioning, Disability and Health, International Classification of

merely the absence of disease or infirmity” has been roundly indicate that diagnosis alone does not predict health service
criticized (e.g., Calahan, 1973) for being utterly resistant to needs, length of hospitalization, or level of care required. Nor
scientific application. Yet, though WHO has never abandon is the presence of a disease or disorder an accurate predictor
its aspirational definition, in more technical papers it has of receipt of disability benefits, work performance, return
responded to the need for a basis for quantifying health, to work potential, or likelihood of social integration. With the
without which not even the first steps in clinical quality assur- decrease in significance of infectious diseases and the
ance, basic epidemiology, or the evaluation of public health burgeoning impact of population aging and the increasing
strategies could be taken. This approach relies on the ICF prevalence of chronic health conditions, including those like
notion of functioning. mental health problems that do not shorten life, it was
In 2003, WHO offer a conceptual of health ‘for measure- clear that for nearly all epidemiological, health systems and
ment purposes’ that built on the following intuitions clinical care research, what is required was information about
(Salomon et al., 2003): functioning and disability.
As a practical tool, therefore, the ICF is designed to capture
l Health is a separate concept from well-being, although it is
the information needed, at the individual and population level,
of intrinsic value to human beings and instrumentally
to fully comprehend the experience of health, including the
linked to other components of well-being.
ramifications for functioning and disability. To accomplish
l Health is comprised of states or conditions of the human
this, the ICF is composed of three classifications: a classification
body and mind, and therefore any attempt to measure
of body functions and structures, a classification of domains of
health must include measures of body and mind functions.
activity and participation, and a classification of environmental
l Health is an attribute of an individual person, although
factors. The ‘words’ of the ICF standard language are called ICF
aggregate measures of health may be used to describe
categories. The ICF contains a total of 1454 ICF categories: 493
populations.
body functions, 310 body structures, 393 activities and partic-
The second intuition is fundamental, and reflects the ipation domains, and 258 environmental factors. These
influence of the ICF: at bottom health is a matter of the oper- categories are hierarchically organized in chapters with progres-
ation of body functions and structures, simple and complex. sively detailed specification. ICF chapters represent the first
It may be that we need to posit central human goals and level of the hierarchy and the first frame of reference for
values in order to characterize the state of ‘good health’ capturing health information. Each chapter is then decom-
(e.g., as Nordenfelt, 1987 argues). And we may need posed into more detailed second-level categories, which in
a broader notion of health that includes the performance turn are decomposed into third- and fourth-level categories.
of highly complex and social-constructed activities such as For example, the following is the structure of the first chapter
are require for community life, education, or employment of Body Functions:
(Daniels, 2007). But, as at the end of the day if health is
not rooted in functions and structures of the body and ‘b1 Mental functions’ (first/chapter level)
mind, then the notion arguably lacks scientific or practical ‘b114 Orientation functions’ (second level)
usefulness. This, indeed, is the underlying implication of ‘b1142 Orientation to person’ (third level)
the ICF model, and in this sense the ICF can be viewed as ‘b11420 Orientation to self’ (fourth level).
providing an operationalization of the concept of health,
if not in general, then at least for scientific purposes The overall structure of the components of the ICF classifi-
(see Cieza et al., 2008). cation is represented in Figure 3.
To capture the severity of an impairment, limitation, or
restriction, the ICF includes a general or generic qualifier with
The ICF Classifications and Health Information a simple rating scale of five response options: 0 ¼ no impair-
ment (limitation or restriction), 1 ¼ mild, 2 ¼ moderate,
The ICF is more than its conceptual framework, of course. 3 ¼ severe, and 4 ¼ complete impairment (limitation or restric-
Essentially, it is an epidemiology standard instrument, a classifi- tion). In the case of environmental factors, the qualifier
cation. Certainly, WHO’s own interest in developing and captures the extent to which an environmental factor is a facili-
promulgating the ICF is to fulfill its constitutional mandate to tator or a barrier, with a total of nine response options ranging
provide the world with comparable health information. from þ4 (complete facilitator) to 4 (complete barrier), with
WHO’s more well-known information standard classification, a 0 value indicating neither a facilitator nor a barrier. Although
International Statistical Classification of Diseases and Related strictly speaking, the ICF is not an assessment tool but a descrip-
Health Problems (ICD-10) (WHO, 1992), currently under tive classification – a classification of ‘what to measure’ not
revision, is used worldwide to report causes of death for a guide to ‘how to measure’ – the use of qualifiers provider,
mortality statistics. Though essential for measuring life a rough guide to the extent or severity of category being used.
expectancy, ICD data did not capture the overall health status In practice, existing assessment instruments or patient-
of living populations. Missing was information about nonfatal reported outcomes can be mapped onto the values of the ICF
health outcomes, that is levels of functioning and disability categorical coding so that information collected by these
across all areas of life. The ICF was therefore developed in instruments can then be compared by means of the
order for standardized information about living with a state standardization that the ICF provides.
health, or as it is sometimes put, the lived experience of Given WHO’s motivation for developing the ICF, most of
health. This information is proving to be essential as studies the current uses of ICF are geared to serve the requirements
Functioning, Disability and Health, International Classification of 547

Figure 3 The structure of the ICF.

of epidemiology and health information systems. Given the health and clinical information applications, including assess-
enormous number of health and functioning assessment ment instrumentation, principally in fields of rehabilitation
tools – both generic and health condition-specific – that are (see Mpofu and Oakland, 2010). Limit work has been done
currently in use (McDowell, 2006), the ICF has become an in the application of ICF in psychology (Peterson, 2011), but
essential comparative standard (a kind of Rosetta stone) for the full potential value of the ICF in this area has yet to be
linking information collected using different instruments and surveyed. Given that most of the literature on the ‘models of
in different health and rehabilitation settings. At the highest disability’ has been firmly rooted in central sociological and
population level, ICF can be similarly used to compare data social psychological traditions seeking to theorize deviance,
collected from population health or disability surveys at the stigma, and minority status, it is somewhat surprising that
national level, for, ultimately, more valid and reliable data the ICF has generally been received with indifference. It is
on prevalence and incidence. Given the huge range of undoubtedly true that, given its providence, the ICF can easily
operationalization of disability used in such surveys around be dismissed as a classification by and for health scientists and
the globe, the ICF is only available standard language for epidemiologists. But that would be unfortunate since there are
international comparable statistics (WHO, 2011, Chapter 2). at least three themes embedded in the ICF that have signifi-
At the level of clinical practice, the ICF is increasingly being cance far outside the health sphere, and would benefit from
used as a reference framework and classification for the devel- closer scrutiny by social scientists.
opment of clinical assessment and measurement instruments
(Rauch et al., 2008). Further steps toward a wider clinical appli-
Understanding Environmental Factors
cation of ICF is the development of condition-specific and
generic ‘core sets’ of ICF categories that identify those Environmental factors in the ICF are determinants of disabil-
categories that are necessary and sufficient for clinical ities, coequal in significance with health conditions. Two
description of condition and treatment setting (see, e.g., individuals with precisely the same health condition, and
Biering-Sorensen et al., 2006), as well as ‘linking rules’ that impairments, may experience vastly different restrictions in
enable a direct translation between existing clinical terms and the lives because of features of their physical and social envi-
ICF categories (Cieza et al., 2005). Although there is still ronment: one may be able to be fully employed because of
work to be done to fulfill the measurement potential of ICF, workplace accommodations; the other may face such signifi-
which in part depends on the development of interval scales cant social stigma that he or she is housebound. The presence
for particular ICF categories, based on existing clinical test of facilitators and barriers shape individual lives and the expe-
batteries and patient-orient instruments, significant progress rience of disability. Yet, other than the easy cases of the provi-
is being made in this direction (Stucki et al., 2008). Finally, sion of assistive technology and accommodations, or social
ICF has also proven to be a useful basis for patient education exclusion and discrimination, we know very little about how
programming (Neubert et al., 2011). environmental factors interact with health states to yield decre-
ments in functioning. The ICF provides the vocabulary for
describing these factors, but the science and instrumentation
Applications of ICF to the Social and Behavioral needed to assess and measure this impact is, at best, in its
Sciences infancy.
To be sure, occupational and physical therapists have long
Because of WHO’s original motivation for developing the ICF, appreciated the need for exact description of environmental
and its health information applications, most of the applica- impact since many of their interventions depend on it. Yet,
tions of the ICF found in the literature focus on population while their knowledge about the direct or immediate physical
548 Functioning, Disability and Health, International Classification of

environment of assistive technology and physical accommoda- This intuition, supported by the conceptual framework of
tions may be well developed, the impact, positive or negative, ICF, is often operationalized in the language of rights – legal,
of other domains of the environment are far less so. Social atti- civil and more generally, human rights. The United Nations’
tudes, both cultural and interpersonal, clearly affect how health Convention on the Rights of Persons with Disabilities (UN,
conditions and impairments impact people’s lives, but the 2006) is the most recent statement of human rights in which
mechanisms underlying this impact are not at all well- the universalistic message of equal concern and respect for
known. We are even more ignorant of how macrolevel persons with disabilities has been enunciated. It is noteworthy
environmental changes in the form of laws and regulations, that, although the Convention does not explicitly define
policies, and programs impact people’s lives. While political disability, it characterizes it in language that is exactly parallel
activism may successfully alter our laws and policies, to the ICF: “Persons with disabilities include those who
astonishingly, we lack the tools and indicators for identifying, have long-term physical, mental, intellectual or sensory
let alone measuring, the impact of policy change on the lived impairments which in interaction with various barriers may
experience of disability. hinder their full and effective participation in society on an
equal basis with others” (UN, 2006, Article 3). As with any
lofty statement of human rights, the Convention will remain
Universalism
mere words unless given effect and implemented into
Although it did not originate with the ICF, universalism is concrete policies at the national level. Increasingly, human
at the heart of the paradigm shift in our understanding rights advocates have seen the need to marshal the resources
of disability that the ICF offers. Conceptually, universalism of the social sciences in order to provide the robust, empirical
stands in contrast to strains of cultural or social relativism evidence required to give effect to the aspirations of human
that suggests that the disability experience is incommensu- rights treaties, such as the Convention. Indeed, this
rable between members of different cultures, or indeed Convention explicitly requires states to “undertake to collect
between those with and those without disabilities. Politically, appropriate information, including statistical and research
universalism rejects the claim that people with disabilities are data, to enable them to formulate and implement policies to
a discreet and insular social minority group – a position that, give effect to the present Convention” 2 7 (UN, 2006, Article
as a civil rights movement, the disability rights movement 31). Social science in service of human rights, and aligned
successfully used to highlight inequities in the treatment of with the model of the ICF, is clearly anticipated by this
persons with disabilities, including marginalization and Convention as a human right that persons with disabilities
discrimination. Universalism does not downplay or ignore also enjoy.
these inequities; indeed it heightens the scrutiny by empha-
sizing the need to socially ‘mainstream’ disability across
policy rather than emphasis differences and ‘special’ Conclusions
provisions.
The sociological and political implications of treating The World Health Organizations ICF is a multifaceted
disability as a universal human situation, and more practi- document: It is a classificatory instrument designed to
cally of using ICF broadly as a policy tool for employment, ensure comparable international information about health
education, and other social policies, have not been and disability to serve the informational needs across the
adequately explored. Although the planning and architectural health sciences, from public health and epidemiology to
program of ‘universal design’ is a dominant force in disability clinical care. The ICF offers the prospect of operationalizing
advocacy, the prospect of transforming universalism as an the contentious notion of health in a way that maximizes
abstraction into concrete policy recommendations requires its usefulness across professions, disciplines, and social
a solid empirical foundation that can only be provided by sectors. The ICF is also a structural framework for health
sound sociological research. and disability measurement, the basis for assessment instru-
ments, both specific and generic, and a common language
Human Rights and Justice that different members of multidisciplinary teams can
used to serve the common interests of their patients. The
The ICF is, or at least was intended to be, an apolitical, even ICF also offers the prospect of a universal framework for
atheoretical, tool for collecting and analyzing comparable comprehensive disability policy development, including
health and disability data. But there was also an implicit but extending far beyond the scope of health. Both concep-
message in the ICF model that is politically significant: the tually and practically, the ICF opens the door to a vast
administrative, political, and social world needs to be designed range of applications and developments that are of
for all people, whatever their functioning characteristics. great potential significance to the social and behavioral
Political equality demands no less than the creation of social scientist.
institutions that maximize opportunities for all, given the
manifold ways that people differ. Differences that compromise
See also: Culture as a Determinant of Mental Health; Disability:
equality – either because that limit the intrinsic functional
Social and Psychological Aspects; Health Outcomes,
capacity of a person, or because the physical and social environ-
Assessment of; Health and Illness: Mental Representations in
ment creates unnecessary and unfair and burdens for the
Different Cultures; Health: Definitions; Illness and Dyadic
individual – need to be accommodated for the sake of equality
Coping; Resilience.
of concern and respect.
Functioning, Disability and Health, International Classification of 549

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Funding of Social Science, History of
Thomas König, Vienna Science and Technology Fund, Vienna, Austria
� 2015 Elsevier Ltd. All rights reserved.

Abstract

The history of funding in the social and behavioral sciences can best be described along different types of funding regimes.
Starting with defining the term ‘funding,’ the article sets out to discuss those regimes and their emergence over the past two
hundred years. It concludes with some remarks on recent discussions on the relationship of funding and research in the social
and behavioral sciences, as well as some recent trends in their funding.

Introduction foremost, the data are simply lacking. Current OECD data sets,
for example, do not reach further back than to the early 1980s,
To state the obvious right away: “Science costs money” since the Frascati Handbook, which is the internationally
(Stephan, 2012: p. 1). As in other fields, funding has been binding categorization system for science and technology
crucial for social and behavioral sciences from the very begin- statistics, included the social sciences only from 1976 (Godin,
ning. Surprisingly, however, so far its undeniable impact on the 2005a: p. 73).
“social stratification of science” (Merton, 1988) has not Even for this rather short period, the figures displayed in
induced comprehensive attempts to investigate the relation- Table 1 should be regarded with caution. First, the four coun-
ship of the disciplines toward funding. Reflection on the topic tries were selected simply because they are the only ones where
is restricted on case studies, which will be briefly discussed numbers are detailed along scientific fields, including the social
later. sciences. Second, in the original table, every single data point
Why are the social and behavioral sciences so timid when it contained a remark about specific methodological problems.
comes to their endowment? One reason might be that there is Furthermore, it is not clear what ‘all costs’ really include,
a commonly shared uneasiness – to talk about funding might because the data collecting relies on national administrations
expose the disciplines as being compromised or manipulated. and their standards are usually varying. “Statistics on science
Any historical assessment of the social and behavioral sciences,
however, cannot rely on the assumption “that there can be any
pure form of social knowledge, uncontaminated by the situa- Table 1 Expenditures in natural sciences and engineering
and social sciences in four selected countries (in percent of total
tion in which it is created”; rather, it should be situated “in the
expenditures)
context of the longer-term historical development of the rela-
tion between knowledge production and sociopolitical insti- Australia 1981 1986 1992 1996 2002 2006
tutions” (Wagner, 2003: p. 546). The following sketch, as
fragmented as it may be, is also an attempt to contribute to Natural sciences 69.64 69.55 68.52 72.72 73.22 73.94
a history under such assumption. and engineering
Social sciences NA 18.80 21.86 19.33 20.59 20.00

Germany 1981 1985 1991 1996 2001 2006


Definition and Restrictions
Natural sciences 75.53 76.10 78.08 77.96 78.23 NA
and engineering
A working definition of funding in the social and behavioral
Social sciences 7.92 7.73 7.39 8.46 8.62 NA
sciences encompasses the allocation of resources to allow
trained personnel, for a time, conducting research on topics Sweden 1981 1985 1991 1997 2001 2006
with relevance to social and behavioral sciences, and/or
teaching those topics for training purposes. It would also Natural sciences 85.48 85.59 83.62 80.85 79.37 80.51
include accompanying activities, such as advising and dissem- and engineering
Social sciences 9.31 9.18 10.86 11.10 12.51 12.07
inating the results of the research, and fulfilling administrative
requirements. Given this broad definition, it is tempting to The USA 1981 1985 1991 1996 2001 2006
sketch a simple, straight forward history of funding based on
numbers: how many resources (valued in a standardized, Natural sciences 89.68 88.73 90.93 90.93 91.08 NA
aggregated currency) were allocated to the social and behav- and engineering
ioral sciences? If it were possible to answer this question, it Social sciences 6.96 5.25 5.68 6.23 5.98 NA
would provide a comprehensive overview about their relative Sector of performance: higher education; units for expenditure: million 2005 dollars –
worth, not only at a given time in a certain place, but also across constant prices and Prices and Purchasing Power Parties: type of costs: total (all
regions and nations; in historical perspective, it would also types of costs).
Own calculation, based on OECD, 2014. Other National R-D Expenditure by Field of
allow to see allocation fluctuations over time. Of course, such Science and by Type of Cost (Database). OECD Science, Technology and R&D
a history cannot be written, at least not for now. First and Statistics, OECD.

550 International Encyclopedia of the Social & Behavioral Sciences, 2nd edition, Volume 9 http://dx.doi.org/10.1016/B978-0-08-097086-8.03014-2
Funding of Social Science, History of 551

and innovation remain marked by significant methodological state apparatuses. In the beginning, at least, funding for this
limitations” (Godin, 2005b: p. 15). That being said, thinking kind of activity was not yet on a regular basis.
about the history of the social and behavioral sciences from the Complementary, in all industrializing countries during the
perspective of their funding might still yield some interesting, if first half of the nineteenth century, individuals with a philan-
not provocative insights. thropic background began addressing the need to respond to
At this point, it is helpful to distinguish also between pressing social issues. Their curiosity was predominantly
different types of funding. The first type concerns direct, regular satisfied through social surveys, and it was clearly stimulated by
expenses, such as annual budgets for outfitting social science political interest. For Friedrich Engels, “comprehending the
departments at universities, etc. The second type concerns present state of the English proletariat” was synonymous with
direct, extraordinary funds, such as grants for social and his political sympathies for socialism (Engels, 1892). Others
behavioral research projects, or onetime investments to build based their ambitions “to engineer the scientific management
up new infrastructure for teaching and research. The third type of the poor” on their religious beliefs, perceiving “disciplined
concerns indirect (mostly), regular expenses, including costs ordering of the self and of the social world as the only possible
incurred through providing places at higher-education institu- bulwarks against the ever-surging sea of sin” (Yeo, 1991: p. 51).
tions for studying social sciences at different education levels. If Soon enough, however, surveying also reached the policy
the topic of funding has sparked interest at all among historians arena: in England, Royal Commissions were established in
of social sciences, they have dealt with issues related to funding order to investigate a range of issues, from the condition in coal
type number two. This is understandable, since this type of mines to the traffic problems in London City. Here, surveying
funding usually is the one most explicitly stated in historical was no more the concern of affluent individuals but was
records, as it is often the center point of concern in public intended to provide empirical evidence for public policy,
discourses. For the remainder of this contribution, too, the particularly in its regulatory form.
main focus will be on the this type. For all its advantages that When other forms of early funding emerged, they were
make it prone to historical analysis, however, it should be based on a different set of core assumptions. As a sort of
mentioned that, in relation to the two other types of funding, transitory vehicle, the efforts of the German Verein fur
direct, extraordinary funding has to be considered rather small Socialpolitik contained the political interests of its members,
in size. If one were to discuss the public relevance of social and but those were nonetheless intertwined with the social
behavioral sciences in general, therefore, one would have to political program of the German Reich (Stremmel et al.,
aim at an all-encompassing perspective. 2006). As the social and behavioral sciences made their way
into universities, they gained in autonomy (Shils, 1992); the
relation between ethical principles underpinning the political
Funding Regimes purpose of funding changed, as did the epistemic expecta-
tions, but the strong connections were not lost. Nor did the
From the point of their funding, the history of the social and older funding regimes lose traction. The statistical offices
behavioral sciences is to be written not only as one of remained important centers of knowledge production and
remarkable growth in size. Over the past two hundred years, it politically relevant, even though their practices were no longer
also witnesses an increasing number of different procedures of considered the vanguards of research. With others, a division
allocating and accounting of funds. Those procedures can be of labor was taking place. The philanthropic individual con-
described as funding regimes: As such, each of them implies ducting research on his own (since its exponents were
a set of certain political purposes and addresses specific scien- predominantly male) in the nineteenth century was replaced
tific practices, even though this may not be openly declared. by the philanthropic foundation (based on the wealth of
Each regime’s purpose is founded on ethical principles; the a philanthropic individual, nonetheless) that gave grants and
addressed scientific practices express specific epistemic expec- fellowships to scholars (Bremner, 1988; Lingelbach, 2011).
tations. Over time, more and more funding regimes evolve The financial means of the foundations were often enormous;
(with older ones usually being continued, albeit often signifi- their ‘scientific philanthropy’ relied on the idea that the
cantly modified), offering more and more different sorts of “development of fair, objective, expert knowledge would
funding and contributing to today’s dense fabric of the social enable all Americans [and eventually citizens of other nations,
and behavioral sciences. Broadly, then, the history of funding TK] voluntarily to coordinate and rationalize their actions”
can be described along different regimes of funding, each of (Lagemann, 1992: p. 29).
which consisted of a unique mixture of ethical principles and As the last quote already indicates, the foundations were
the epistemic expectations. partly responsible for a major spatial shift of the center of social
Initially, there were basically two funding regimes: direct and behavioral sciences. From the 1920s on, that center was in
allocation of funds within state bureaucracies and philan- Northern America, and no longer in Europe. In particular, the
thropic activities. Since the emergence of the social sciences is American foundations were critical in establishing what could
closely related to the rise of the modern state (Wittrock, 2000), be called ‘big science’ in the social and behavioral sciences
the direct application of statistics became a crucial feature of the through funding large projects (at least in comparison to other
then still nascent state bureaucracy. Its purpose was to describe budgets in those disciplines), and in establishing new research
numerically the populace of a given territory, and it relied on the institutions, within the US as outside (e.g., Hauptmann, 2012).
epistemic expectation to describe, rather than to analyze, the Not surprisingly, thus, the processes of disciplining and
totality of the state’s subjects (Desrosières, 1998). Census professionalizing were strongly enforced by the foundations’
bureaus and statistical offices were usually directly connected to funding activities (e.g., Capshew, 1999).

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